Seth Robert Blacksburg M.D.

NPI 1184959199 - Radiology - 2085R0001X

NPI Details
NPI 1184959199
Gender Male
Enumeration Date 10/08/2009
Last Updated 12/11/2014
Entity Type Individual
Active Over 8 years ago
Practice Location
259 1ST ST
MINEOLA NY, 11501-3957, US
Phone (516) 663-2501
Fax (516) 663-8558
Business Location
PO BOX 95000-5560
Phone (888) 220-1235
Fax (865) 450-9374
Taxonomy Code 2085R0001X
License State New York
License Number 253699
Remove 1184959199 NPI Number

According to our database, Dr. Seth Robert Blacksburg M.D. NPI is 1184959199, taxonomy code is 2085R0001X and license number is 253699, license state is located at New York. Seth Robert Blacksburg M.D. physically located at 259 1st St, Mineola NY, 11501-3957. NPI Number Seth Robert Blacksburg M.D. has the Individual type.

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1184959199 NPI number is provided on an as is basis without warranty of any kind. 1184959199 is maintained by the National Plan & Provider Enumeration System. The contents of Seth Robert Blacksburg M.D. are for informational purposes only.